NPIMap

Individual provider Active NPI

Jean Shim Yun, M.D.

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1649338484
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
235772 Issued in NY
Practice address
254 Canal St
Suite 5001
New York, NY 10013-3501
Phone
(212) 925-2121
Fax
(212) 925-2102
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 235772 NY Primary
Orthopaedic Surgery Physician 207X00000X 25MA069134 NJ

Addresses

Primary practice location

254 Canal St
Suite 5001
New York, NY 10013-3501

Mailing address

254 Canal St
Suite 5001
New York, NY 10013-3501
Phone (212) 925-2121

Other identifiers 2

IdentifierTypeStateIssuer
P3060932OtherNYOXFORD
0055387MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000812 NY Practitioner - Orthopedic Surgery 4981590759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

171 Delancey St
New York, NY 10002-3411
Phone (929) 455-2600

254 Canal St
RM 5001
New York, NY 10013-7100
Phone (212) 925-2121

324 E 23Rd St
New York, NY 10010-4701
Phone (212) 589-6000

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA069134NJMDOrthopaedic Surgery Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Jean Yun MD PC Orthopaedic Surgery CurrentSince Jul 1, 2005 Accepting new patients
New York University Orthopaedic Surgery CurrentSince Mar 15, 2011 Accepting new patients
New York University CurrentSince Mar 15, 2011 Accepting new patients
Ying Shim, MD PA Past Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients
Top Choice Medical LLC Past Accepting new patients

Locations

254 Canal St
Rm 5001
New York, NY 10013
Phone (212) 343-9009

145 E 32nd St
Fl 4
New York, NY 10016
Phone (212) 263-8961

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHICAA/Endpoint/IHICAA
  • Direct secure messaging: jyun12488@nyumc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHICAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1649338484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 5001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-2121",
            "fax_number": "212-925-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 5001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-2121",
            "fax_number": "212-925-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "JEAN",
        "middle_name": "SHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "235772",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA069134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3060932",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055387",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.